Abbas Mohamed - Academia.edu (original) (raw)
Papers by Abbas Mohamed
Clinical Research Notes, 2020
Objective: To evaluate the diagnostic accuracy of combined Alvarado scoring system and selective ... more Objective: To evaluate the diagnostic accuracy of combined Alvarado scoring system and selective computed tomography (CT) in the diagnosis of suspected cases of acute appendicitis. Material and methods: This study was conducted during the period March 2018 to January 2020 at Prince Mohammed bin Abdul-Aziz hospital (NGHA) in Al Madinah, KSA. It is a prospective study involving 100 consecutive patients attending the emergency department with right iliac fossa pain, excluding children below the age of 14 years and pregnant women. All patients were initially assessed by the Alvarado scoring system, and the result of each patient was recorded in a separate predesigned data sheath. Based on the patient's calculated Alvarado scores, patients were stratified into three groups: Group A (score ≤ 4), Group B (score 5-6), and group C (score ≥ 7). All patients in group A were discharged from the emergency department with instruction to return if their symptoms persist or get worse while all ...
Journal of Clinical Research and Reports, 2020
Calcium ions play an important role in the contractility of cardiac muscle. Severe extracellular ... more Calcium ions play an important role in the contractility of cardiac muscle. Severe extracellular hypocalcaemia impairs cardiac contractility and results in ventricular dysfunction known as hypocalcemia induced cardiomyopathy. Hypocalcemia induced cardiomyopathy after total thyroidectomy is rare with only few cases reported in the literature. We report a case of post thyroidectomy Hypocalcaemia induced cardiomyopathy in a 45 years old lady who was successfully treated with calcium and vitamin D supplement with complete recovery of her left ventricular function.
Global Journal of Medical Research, May 12, 2014
Spontaneous rupture of the kidney is a disruption of the renal parenchyma or the collecting syste... more Spontaneous rupture of the kidney is a disruption of the renal parenchyma or the collecting system without significant trauma. It may lead to the formation of subcapsular or retroperitoneal hematomas. We present a case of spontaneous rupture of left kidney, with massive retroperito-neal hematoma caused by multiple simple renal cysts.
The Internet Journal of Surgery, 2014
Epiploic appendagitis is a rare self-limiting condition and results from either torsion or inflam... more Epiploic appendagitis is a rare self-limiting condition and results from either torsion or inflammation of an appendix epiploica of the colon. We report a case of sigmoid epiploic appendagitis diagnosed pre-operatively and treated conservatively. INTRODUCTION Epiploic appendagitis is a rare clinical entity. Depending on its location, epiploic appendagitis may mimic nearly any acute abdominal condition. We report a case of sigmoid epiploic appendagitis in a young male presented with left lower abdominal pain mimicking acute diverticulitis. We also demonstrate the CT scan and MRI features of the condition. CASE REPORT A 36-year-old male patient presented to the ER department complaining of left-side lower abdominal pain for three days duration. He described the pain as of sudden onset and severe in nature initially, but it gradually eased off after few hours and then remained constant. He had no vomiting or change of bowel habits and no urinary symptoms. On examination, the patient wa...
The Internet Journal of Infectious Diseases, 2014
Tuberculosis abscesses of the chest wall, though uncommon are not infrequently encountered in cou... more Tuberculosis abscesses of the chest wall, though uncommon are not infrequently encountered in countries endemic to the disease. Tuberculosis (TB) of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB (1-3) which Musculoskeletal TB accounts for 1-2% of all types of tuberculosis (3-6). Isolated chest wall abscess without bone involvement is even rarer and to our knowledge only few cases were reported in the literature. We report a case of chest wall abscess without bone involvement in a young immunocompetent patient.
The Internet Journal of Surgery, 2014
Patients with both cirrhosis and ascites have a 20% risk of developing umbilical hernia. Umbilica... more Patients with both cirrhosis and ascites have a 20% risk of developing umbilical hernia. Umbilical rupture and hernia strangulation are the most life-threatening complications of umbilical hernia with ascites and they demand urgent surgical intervention. We report a case of strangulated umbilical hernia in a male patient with Child’s C post hepatitis C liver cirrhosis with massive ascites. We also review the literature for the optimal time for repair of umbilical hernias in patients with liver cirrhosis and ascites.
The Internet Journal of Surgery, 2010
Cholecystoenteric fistula is a well-recognized complication of biliary lithiasis. We describe the... more Cholecystoenteric fistula is a well-recognized complication of biliary lithiasis. We describe the clinical scenario in an 88-year-old male who presented to the emergency room at KFMC, Riyadh, with features of gastric outlet obstruction of four weeks duration. The patient's abdominal CT scan revealed pneumobilia and upper GI endoscopy revealed a tight stenosis in the pyloric area. The patient had no history of any surgical or endoscopic intervention in the past. ERCP demonstrated a fistulous tract between gallbladder and duodenum. The patient was managed with intensive proton pump therapy and in 10 weeks' time his symptoms resolved. The overall features were suggestive of Bouveret's syndrome. This rare syndrome is revisited with special reference to proton pump therapy.
Journal of Clinical Research and Reports, 2020
Liver cirrhosis was previously considered as an absolute contraindication to laparoscopic surgery... more Liver cirrhosis was previously considered as an absolute contraindication to laparoscopic surgery because of its associated coagulation defects, portal hypertension, and nutritional disorders. Recently laparoscopy is being used increasingly in the diagnosis and treatment of patients with liver cirrhosis because of introducing low risks anesthetic agents and drugs, and less invasive surgical techniques. At present, it is well established that although the risk of laparoscopy in cirrhotic patients, is real, it is not significant enough to contraindicate the procedure. Laparoscopic surgery in patients with advanced liver cirrhosis is have been discouraged because of the high morbidity and mortality. We report a case of advanced cryptogenic decompensated liver cirrhosis who had laparoscopic retrieval of the intra-abdominal foreign body without postoperative complications or deterioration of his liver functions. We also review the literature for the safety of laparoscopy in patients with advanced liver cirrhosis.
The Eurasian Journal of Medicine, 2012
Cecal volvulus is a rare cause of intestinal obstruction. In this report, we present a 41 year-ol... more Cecal volvulus is a rare cause of intestinal obstruction. In this report, we present a 41 year-old patient with cecal volvulus, and we discuss this very rare entity.
IFLA Journal, 2014
The purpose of this paper is to examine the current situation and the future of information liter... more The purpose of this paper is to examine the current situation and the future of information literacy programs in Zanzibar universities by looking at information literacy awareness, the extent of information literacy provision and the role of university libraries in promoting it. The survey was conducted in three universities of Zanzibar, where university library staff, deans and directors of schools/ faculties, heads of departments and undergraduate students were involved in the study. A total of 200 respondents participated in the study and the results were analyzed quantitatively. The findings show that a certain degree of information literacy awareness exists among library and academic staff, though promotion and provision of its skills are still in the infancy stages. Inadequate numbers of qualified information literacy specialists, lack of background in teaching information literacy and lack of cooperation between librarians and faculty members were identified as the sources of...
JSLS : Journal of the Society of Laparoendoscopic Surgeons, 2002
Objective: We describe herein a surgical technique, whereby we use a liposuction device for the l... more Objective: We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC). Methods: Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications. The laparoscopic technique consisted of partial aspiration of the cyst fluid and replacement of the aspirated fluid with 10% Betadine. The Betadine solution was left in situ for 10 minutes. Evacuation of the cyst contents was carried out with the liposuction device. The residual cavity was unroofed by partial excision of the ectocyst. A drain was left alongside the cyst. No intra- or postoperative complications were encountered. Results: all patients were mobilized freely, were allowed to eat a regular meal 6 hours after recovery from anesthesia, and were discharged on the third postoperative day. All patients resumed their normal household and work activities by the tenth posto...
Cureus, 2021
Since it was first introduced, laparoscopic sleeve gastrectomy (LSG) has gained wide popularity a... more Since it was first introduced, laparoscopic sleeve gastrectomy (LSG) has gained wide popularity and it is one of the most performed bariatric surgical procedures for weight reduction throughout the world. LSG is a simple and effective procedure for the reduction of excess body weight, but it is not without serious complications. We present a case of a 46-year-old obese male with multiple co-morbidities who presented with a delayed post-LSG leak that was successfully managed with endoscopic clips and tissue adhesive.
JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic... more We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC). Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications. The laparoscopic technique consisted of partial aspiration of the cyst fluid and replacement of the aspirated fluid with 10% Betadine. The Betadine solution was left in situ for 10 minutes. Evacuation of the cyst contents was carried out with the liposuction device. The residual cavity was unroofed by partial excision of the ectocyst. A drain was left alongside the cyst. No intra- or postoperative complications were encountered. All patients were mobilized freely, were allowed to eat a regular meal 6 hours after recovery from anesthesia, and were discharged on the third postoperative day. All patients resumed their normal household and work activities by the tenth postoperative day. The patients we...
Cureus, 2021
The stomach is the most common site of gastrointestinal stromal tumors (GISTs), representing 60% ... more The stomach is the most common site of gastrointestinal stromal tumors (GISTs), representing 60% to 70% of all GIST tumors of the gastrointestinal tract. Gastric GISTs are usually asymptomatic discovered incidentally during endoscopic or radiological investigations. A small percentage may present with melena, hematemesis, and anemia due to recurrent bleeding. We report a case of a giant gastric GIST presented with anemia, that successfully treated with laparoscopic resection.
ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surp... more ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review -------------------------------------------------------------------------------- Abbas AR Mohamed MBBS, FRCSI, FICS Consultant General and Laparoscopic Surgeon, Department of Surgical Specialties, King Fahad Medical City Muhammad Abukhater MBBS, FRCSI Assistant Consultant General Surgery, Department of Surgical Specialties, King Fahad Medical City Walid Abbas Mohamed MBBS, Intern in General Surgery, Department of Surgical Specialties, King Fahad Medical City -------------------------------------------------------------------------------- Citation: A.A. Mohamed, M. Abukhater, W.A. Mohamed: Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review. The Internet Journal of Surgery. 2010 Volume 25 Number 2. DOI: 10.5580/223d -------------------------------------------------------------------------------- Keywords: Choledochal cyst/Laparoscopic cholecystectomy/Roux-en-Y hepaticojejunostomy -------------------------------------------------------------------------------- Abstract Presentation of a choledochal cyst is rare in adults. The diagnosis of adult choledochal cysts is frequently delayed due to nonspecific clinical symptoms or symptoms obscured by secondary hepatobiliary disease. We report a case of choledochal cyst associated with gallstones in a 15-year- old female which was diagnosed during laparoscopic cholecystectomy. -------------------------------------------------------------------------------- Introduction Choledochal cysts (CCs) are congenital conditions associated with benign cystic dilatation of bile ducts. Although cystic disease of the biliary tree has been described since 1723, much about its etiology, pathophysiology, natural course and optimal treatment remains under debate. CCs are reported mainly in children; however, an increasing number of adult patients have been diagnosed with the disease. Pre-operative diagnosis is essential for proper planning for surgery and to avoid unexpected intra-operative surprise. We report a case of an adult choledochal cyst missed on ultrasonic evaluation of a patient with gall stone symptoms. The diagnosis was established intra-operatively during laparoscopic cholecystectomy by intra-operative cholangiogram and confirmed by post operative MRCP. Advertisement Case Report A 16-year-old female patient presented to the surgical outpatient department at King Fahad Medical City, Riyadh, KSA with a history of recurrent right hypochodrium pain radiating to the right shoulder. She gave no history of jaundice, fever, rigors or pervious surgery. She had no history of medical illness. Clinical examination was entirely normal. Laboratory investigations including full blood count, liver function test and urea and electrolytes were within normal limits. The upper abdominal ultrasound was reported as liver normal in size and echogenicity with no focal lesion. The gallbladder showed multiple stones with normal wall thickness and no evidence of acute inflammation. The common bile duct was normal in caliber and there was no dilatation of the intrahepatic bile radicles (figure 1, 2). Figure 1: Ultrasonography of the gallbladder showing multiple stones with normal wall thickness and no evidence of acute inflammation. Figure 2: Ultrasonography of the liver showing a dilated tubular structure posterior to the gallbladder with internal echoes and posterior wall enhancement (findings overlooked in the initial ultrasound report). The patient was booked for elective laparoscopic cholecystectomy on the assumptive diagnosis of gall stones. Intraoperatively, the gallbladder was distended, but not inflamed (figure 3). On traction of the gallbladder upwards, a dilated cyst was seen which seemed to be in continuity with the gallbladder just below the level of the cystic duct (figure 4). The cystic duct was dissected (figure 5) and transcystic duct cholangiography was done (figure 6) which confirmed the diagnosis of a choledochal cyst. Figure 3: Distended gallbladder without obvious signs of acute inflammation. Figure 4: Huge cyst immediately below and in continuity with the gallbladder and above the duodenum Figure 5: The cystic duct was dissected and it was obvious that it was in continuity with the cyst. Figure 6: Intra-operative cholangiogram catheter inserted through the cystic duct. We proceeded with routine laparoscopic cholecystectomy without dealing with the cyst at this stage. A postoperative MRI confirmed the diagnosis of a choledochal cyst (figures 7 & 8). Figures 7 & 8: Postoperative MRCP confirming the diagnosis of a choledochal cyst. Figure 8 Subsequently, the patient had excision of the cyst with hepaticojejunostomy without complications. The histopathology report confirmed the diagnosis of a choledochal cyst. Discussion Choledochal cysts (CCs) are congenital conditions associated with benign cystic…
Journal of Medical Science And clinical Research
Tension pneumoperitoneum (TP) is defined as the massive accumulation of air in the peritoneal cav... more Tension pneumoperitoneum (TP) is defined as the massive accumulation of air in the peritoneal cavity, which results in a sudden increase in intraabdominal pressure. Various iatrogenic procedures are responsible for this complication (1). We report a case of tension pneumoperitoneum after percutaneous radiological gastrostomy (PRG).
ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surp... more ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review -------------------------------------------------------------------------------- Abbas AR Mohamed MBBS, FRCSI, FICS Consultant General and Laparoscopic Surgeon, Department of Surgical Specialties, King Fahad Medical City Muhammad Abukhater MBBS, FRCSI Assistant Consultant General Surgery, Department of Surgical Specialties, King Fahad Medical City Walid Abbas Mohamed MBBS, Intern in General Surgery, Department of Surgical Specialties, King Fahad Medical City -------------------------------------------------------------------------------- Citation: A.A. Mohamed, M. Abukhater, W.A. Mohamed: Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review. The Internet Journal of Surgery. 2010 Volume 25 Number 2. DOI: 10.5580/223d -------------------------------------------------------------------------------- Keywords: Choledochal cyst/Laparoscopic cholecystectomy/Roux-en-Y hepaticojejunostomy -------------------------------------------------------------------------------- Abstract Presentation of a choledochal cyst is rare in adults. The diagnosis of adult choledochal cysts is frequently delayed due to nonspecific clinical symptoms or symptoms obscured by secondary hepatobiliary disease. We report a case of choledochal cyst associated with gallstones in a 15-year- old female which was diagnosed during laparoscopic cholecystectomy. -------------------------------------------------------------------------------- Introduction Choledochal cysts (CCs) are congenital conditions associated with benign cystic dilatation of bile ducts. Although cystic disease of the biliary tree has been described since 1723, much about its etiology, pathophysiology, natural course and optimal treatment remains under debate. CCs are reported mainly in children; however, an increasing number of adult patients have been diagnosed with the disease. Pre-operative diagnosis is essential for proper planning for surgery and to avoid unexpected intra-operative surprise. We report a case of an adult choledochal cyst missed on ultrasonic evaluation of a patient with gall stone symptoms. The diagnosis was established intra-operatively during laparoscopic cholecystectomy by intra-operative cholangiogram and confirmed by post operative MRCP. Advertisement Case Report A 16-year-old female patient presented to the surgical outpatient department at King Fahad Medical City, Riyadh, KSA with a history of recurrent right hypochodrium pain radiating to the right shoulder. She gave no history of jaundice, fever, rigors or pervious surgery. She had no history of medical illness. Clinical examination was entirely normal. Laboratory investigations including full blood count, liver function test and urea and electrolytes were within normal limits. The upper abdominal ultrasound was reported as liver normal in size and echogenicity with no focal lesion. The gallbladder showed multiple stones with normal wall thickness and no evidence of acute inflammation. The common bile duct was normal in caliber and there was no dilatation of the intrahepatic bile radicles (figure 1, 2). Figure 1: Ultrasonography of the gallbladder showing multiple stones with normal wall thickness and no evidence of acute inflammation. Figure 2: Ultrasonography of the liver showing a dilated tubular structure posterior to the gallbladder with internal echoes and posterior wall enhancement (findings overlooked in the initial ultrasound report). The patient was booked for elective laparoscopic cholecystectomy on the assumptive diagnosis of gall stones. Intraoperatively, the gallbladder was distended, but not inflamed (figure 3). On traction of the gallbladder upwards, a dilated cyst was seen which seemed to be in continuity with the gallbladder just below the level of the cystic duct (figure 4). The cystic duct was dissected (figure 5) and transcystic duct cholangiography was done (figure 6) which confirmed the diagnosis of a choledochal cyst. Figure 3: Distended gallbladder without obvious signs of acute inflammation. Figure 4: Huge cyst immediately below and in continuity with the gallbladder and above the duodenum Figure 5: The cystic duct was dissected and it was obvious that it was in continuity with the cyst. Figure 6: Intra-operative cholangiogram catheter inserted through the cystic duct. We proceeded with routine laparoscopic cholecystectomy without dealing with the cyst at this stage. A postoperative MRI confirmed the diagnosis of a choledochal cyst (figures 7 & 8). Figures 7 & 8: Postoperative MRCP confirming the diagnosis of a choledochal cyst. Figure 8 Subsequently, the patient had excision of the cyst with hepaticojejunostomy without complications. The histopathology report confirmed the diagnosis of a choledochal cyst. Discussion Choledochal cysts (CCs) are congenital conditions associated with benign cystic…
Obesity surgery, 2009
Intragastric balloons have gained popularity in the management of morbid obesity. Although the pr... more Intragastric balloons have gained popularity in the management of morbid obesity. Although the procedure of insertion is easy and is generally accepted by patients, a few complications can occur. We report a case of small bowel obstruction caused by spontaneous deflation and forced passage of an air-filled intragastric balloon into the small bowel.
JSLS, Journal of the …, 2002
We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic... more We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC). Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications. The laparoscopic technique consisted of partial aspiration of the cyst fluid and replacement of the aspirated fluid with 10% Betadine. The Betadine solution was left in situ for 10 minutes. Evacuation of the cyst contents was carried out with the liposuction device. The residual cavity was unroofed by partial excision of the ectocyst. A drain was left alongside the cyst. No intra- or postoperative complications were encountered. All patients were mobilized freely, were allowed to eat a regular meal 6 hours after recovery from anesthesia, and were discharged on the third postoperative day. All patients resumed their normal household and work activities by the tenth postoperative day. The patients were regularly followed up every 2 months for 2 years. At follow-up in the surgical clinic, no evidence of recurrence was noted either clinically, serologically, or by imaging techniques. We conclude that the laparoscopic treatment of HHC is feasible and advantageous. We believe that the use of a liposuction device facilitates rapid and efficient evacuation of the viscid organic contents of the cyst and helps in the obliteration of the residual cavity.
Clinical Research Notes, 2020
Objective: To evaluate the diagnostic accuracy of combined Alvarado scoring system and selective ... more Objective: To evaluate the diagnostic accuracy of combined Alvarado scoring system and selective computed tomography (CT) in the diagnosis of suspected cases of acute appendicitis. Material and methods: This study was conducted during the period March 2018 to January 2020 at Prince Mohammed bin Abdul-Aziz hospital (NGHA) in Al Madinah, KSA. It is a prospective study involving 100 consecutive patients attending the emergency department with right iliac fossa pain, excluding children below the age of 14 years and pregnant women. All patients were initially assessed by the Alvarado scoring system, and the result of each patient was recorded in a separate predesigned data sheath. Based on the patient's calculated Alvarado scores, patients were stratified into three groups: Group A (score ≤ 4), Group B (score 5-6), and group C (score ≥ 7). All patients in group A were discharged from the emergency department with instruction to return if their symptoms persist or get worse while all ...
Journal of Clinical Research and Reports, 2020
Calcium ions play an important role in the contractility of cardiac muscle. Severe extracellular ... more Calcium ions play an important role in the contractility of cardiac muscle. Severe extracellular hypocalcaemia impairs cardiac contractility and results in ventricular dysfunction known as hypocalcemia induced cardiomyopathy. Hypocalcemia induced cardiomyopathy after total thyroidectomy is rare with only few cases reported in the literature. We report a case of post thyroidectomy Hypocalcaemia induced cardiomyopathy in a 45 years old lady who was successfully treated with calcium and vitamin D supplement with complete recovery of her left ventricular function.
Global Journal of Medical Research, May 12, 2014
Spontaneous rupture of the kidney is a disruption of the renal parenchyma or the collecting syste... more Spontaneous rupture of the kidney is a disruption of the renal parenchyma or the collecting system without significant trauma. It may lead to the formation of subcapsular or retroperitoneal hematomas. We present a case of spontaneous rupture of left kidney, with massive retroperito-neal hematoma caused by multiple simple renal cysts.
The Internet Journal of Surgery, 2014
Epiploic appendagitis is a rare self-limiting condition and results from either torsion or inflam... more Epiploic appendagitis is a rare self-limiting condition and results from either torsion or inflammation of an appendix epiploica of the colon. We report a case of sigmoid epiploic appendagitis diagnosed pre-operatively and treated conservatively. INTRODUCTION Epiploic appendagitis is a rare clinical entity. Depending on its location, epiploic appendagitis may mimic nearly any acute abdominal condition. We report a case of sigmoid epiploic appendagitis in a young male presented with left lower abdominal pain mimicking acute diverticulitis. We also demonstrate the CT scan and MRI features of the condition. CASE REPORT A 36-year-old male patient presented to the ER department complaining of left-side lower abdominal pain for three days duration. He described the pain as of sudden onset and severe in nature initially, but it gradually eased off after few hours and then remained constant. He had no vomiting or change of bowel habits and no urinary symptoms. On examination, the patient wa...
The Internet Journal of Infectious Diseases, 2014
Tuberculosis abscesses of the chest wall, though uncommon are not infrequently encountered in cou... more Tuberculosis abscesses of the chest wall, though uncommon are not infrequently encountered in countries endemic to the disease. Tuberculosis (TB) of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB (1-3) which Musculoskeletal TB accounts for 1-2% of all types of tuberculosis (3-6). Isolated chest wall abscess without bone involvement is even rarer and to our knowledge only few cases were reported in the literature. We report a case of chest wall abscess without bone involvement in a young immunocompetent patient.
The Internet Journal of Surgery, 2014
Patients with both cirrhosis and ascites have a 20% risk of developing umbilical hernia. Umbilica... more Patients with both cirrhosis and ascites have a 20% risk of developing umbilical hernia. Umbilical rupture and hernia strangulation are the most life-threatening complications of umbilical hernia with ascites and they demand urgent surgical intervention. We report a case of strangulated umbilical hernia in a male patient with Child’s C post hepatitis C liver cirrhosis with massive ascites. We also review the literature for the optimal time for repair of umbilical hernias in patients with liver cirrhosis and ascites.
The Internet Journal of Surgery, 2010
Cholecystoenteric fistula is a well-recognized complication of biliary lithiasis. We describe the... more Cholecystoenteric fistula is a well-recognized complication of biliary lithiasis. We describe the clinical scenario in an 88-year-old male who presented to the emergency room at KFMC, Riyadh, with features of gastric outlet obstruction of four weeks duration. The patient's abdominal CT scan revealed pneumobilia and upper GI endoscopy revealed a tight stenosis in the pyloric area. The patient had no history of any surgical or endoscopic intervention in the past. ERCP demonstrated a fistulous tract between gallbladder and duodenum. The patient was managed with intensive proton pump therapy and in 10 weeks' time his symptoms resolved. The overall features were suggestive of Bouveret's syndrome. This rare syndrome is revisited with special reference to proton pump therapy.
Journal of Clinical Research and Reports, 2020
Liver cirrhosis was previously considered as an absolute contraindication to laparoscopic surgery... more Liver cirrhosis was previously considered as an absolute contraindication to laparoscopic surgery because of its associated coagulation defects, portal hypertension, and nutritional disorders. Recently laparoscopy is being used increasingly in the diagnosis and treatment of patients with liver cirrhosis because of introducing low risks anesthetic agents and drugs, and less invasive surgical techniques. At present, it is well established that although the risk of laparoscopy in cirrhotic patients, is real, it is not significant enough to contraindicate the procedure. Laparoscopic surgery in patients with advanced liver cirrhosis is have been discouraged because of the high morbidity and mortality. We report a case of advanced cryptogenic decompensated liver cirrhosis who had laparoscopic retrieval of the intra-abdominal foreign body without postoperative complications or deterioration of his liver functions. We also review the literature for the safety of laparoscopy in patients with advanced liver cirrhosis.
The Eurasian Journal of Medicine, 2012
Cecal volvulus is a rare cause of intestinal obstruction. In this report, we present a 41 year-ol... more Cecal volvulus is a rare cause of intestinal obstruction. In this report, we present a 41 year-old patient with cecal volvulus, and we discuss this very rare entity.
IFLA Journal, 2014
The purpose of this paper is to examine the current situation and the future of information liter... more The purpose of this paper is to examine the current situation and the future of information literacy programs in Zanzibar universities by looking at information literacy awareness, the extent of information literacy provision and the role of university libraries in promoting it. The survey was conducted in three universities of Zanzibar, where university library staff, deans and directors of schools/ faculties, heads of departments and undergraduate students were involved in the study. A total of 200 respondents participated in the study and the results were analyzed quantitatively. The findings show that a certain degree of information literacy awareness exists among library and academic staff, though promotion and provision of its skills are still in the infancy stages. Inadequate numbers of qualified information literacy specialists, lack of background in teaching information literacy and lack of cooperation between librarians and faculty members were identified as the sources of...
JSLS : Journal of the Society of Laparoendoscopic Surgeons, 2002
Objective: We describe herein a surgical technique, whereby we use a liposuction device for the l... more Objective: We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC). Methods: Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications. The laparoscopic technique consisted of partial aspiration of the cyst fluid and replacement of the aspirated fluid with 10% Betadine. The Betadine solution was left in situ for 10 minutes. Evacuation of the cyst contents was carried out with the liposuction device. The residual cavity was unroofed by partial excision of the ectocyst. A drain was left alongside the cyst. No intra- or postoperative complications were encountered. Results: all patients were mobilized freely, were allowed to eat a regular meal 6 hours after recovery from anesthesia, and were discharged on the third postoperative day. All patients resumed their normal household and work activities by the tenth posto...
Cureus, 2021
Since it was first introduced, laparoscopic sleeve gastrectomy (LSG) has gained wide popularity a... more Since it was first introduced, laparoscopic sleeve gastrectomy (LSG) has gained wide popularity and it is one of the most performed bariatric surgical procedures for weight reduction throughout the world. LSG is a simple and effective procedure for the reduction of excess body weight, but it is not without serious complications. We present a case of a 46-year-old obese male with multiple co-morbidities who presented with a delayed post-LSG leak that was successfully managed with endoscopic clips and tissue adhesive.
JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic... more We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC). Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications. The laparoscopic technique consisted of partial aspiration of the cyst fluid and replacement of the aspirated fluid with 10% Betadine. The Betadine solution was left in situ for 10 minutes. Evacuation of the cyst contents was carried out with the liposuction device. The residual cavity was unroofed by partial excision of the ectocyst. A drain was left alongside the cyst. No intra- or postoperative complications were encountered. All patients were mobilized freely, were allowed to eat a regular meal 6 hours after recovery from anesthesia, and were discharged on the third postoperative day. All patients resumed their normal household and work activities by the tenth postoperative day. The patients we...
Cureus, 2021
The stomach is the most common site of gastrointestinal stromal tumors (GISTs), representing 60% ... more The stomach is the most common site of gastrointestinal stromal tumors (GISTs), representing 60% to 70% of all GIST tumors of the gastrointestinal tract. Gastric GISTs are usually asymptomatic discovered incidentally during endoscopic or radiological investigations. A small percentage may present with melena, hematemesis, and anemia due to recurrent bleeding. We report a case of a giant gastric GIST presented with anemia, that successfully treated with laparoscopic resection.
ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surp... more ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review -------------------------------------------------------------------------------- Abbas AR Mohamed MBBS, FRCSI, FICS Consultant General and Laparoscopic Surgeon, Department of Surgical Specialties, King Fahad Medical City Muhammad Abukhater MBBS, FRCSI Assistant Consultant General Surgery, Department of Surgical Specialties, King Fahad Medical City Walid Abbas Mohamed MBBS, Intern in General Surgery, Department of Surgical Specialties, King Fahad Medical City -------------------------------------------------------------------------------- Citation: A.A. Mohamed, M. Abukhater, W.A. Mohamed: Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review. The Internet Journal of Surgery. 2010 Volume 25 Number 2. DOI: 10.5580/223d -------------------------------------------------------------------------------- Keywords: Choledochal cyst/Laparoscopic cholecystectomy/Roux-en-Y hepaticojejunostomy -------------------------------------------------------------------------------- Abstract Presentation of a choledochal cyst is rare in adults. The diagnosis of adult choledochal cysts is frequently delayed due to nonspecific clinical symptoms or symptoms obscured by secondary hepatobiliary disease. We report a case of choledochal cyst associated with gallstones in a 15-year- old female which was diagnosed during laparoscopic cholecystectomy. -------------------------------------------------------------------------------- Introduction Choledochal cysts (CCs) are congenital conditions associated with benign cystic dilatation of bile ducts. Although cystic disease of the biliary tree has been described since 1723, much about its etiology, pathophysiology, natural course and optimal treatment remains under debate. CCs are reported mainly in children; however, an increasing number of adult patients have been diagnosed with the disease. Pre-operative diagnosis is essential for proper planning for surgery and to avoid unexpected intra-operative surprise. We report a case of an adult choledochal cyst missed on ultrasonic evaluation of a patient with gall stone symptoms. The diagnosis was established intra-operatively during laparoscopic cholecystectomy by intra-operative cholangiogram and confirmed by post operative MRCP. Advertisement Case Report A 16-year-old female patient presented to the surgical outpatient department at King Fahad Medical City, Riyadh, KSA with a history of recurrent right hypochodrium pain radiating to the right shoulder. She gave no history of jaundice, fever, rigors or pervious surgery. She had no history of medical illness. Clinical examination was entirely normal. Laboratory investigations including full blood count, liver function test and urea and electrolytes were within normal limits. The upper abdominal ultrasound was reported as liver normal in size and echogenicity with no focal lesion. The gallbladder showed multiple stones with normal wall thickness and no evidence of acute inflammation. The common bile duct was normal in caliber and there was no dilatation of the intrahepatic bile radicles (figure 1, 2). Figure 1: Ultrasonography of the gallbladder showing multiple stones with normal wall thickness and no evidence of acute inflammation. Figure 2: Ultrasonography of the liver showing a dilated tubular structure posterior to the gallbladder with internal echoes and posterior wall enhancement (findings overlooked in the initial ultrasound report). The patient was booked for elective laparoscopic cholecystectomy on the assumptive diagnosis of gall stones. Intraoperatively, the gallbladder was distended, but not inflamed (figure 3). On traction of the gallbladder upwards, a dilated cyst was seen which seemed to be in continuity with the gallbladder just below the level of the cystic duct (figure 4). The cystic duct was dissected (figure 5) and transcystic duct cholangiography was done (figure 6) which confirmed the diagnosis of a choledochal cyst. Figure 3: Distended gallbladder without obvious signs of acute inflammation. Figure 4: Huge cyst immediately below and in continuity with the gallbladder and above the duodenum Figure 5: The cystic duct was dissected and it was obvious that it was in continuity with the cyst. Figure 6: Intra-operative cholangiogram catheter inserted through the cystic duct. We proceeded with routine laparoscopic cholecystectomy without dealing with the cyst at this stage. A postoperative MRI confirmed the diagnosis of a choledochal cyst (figures 7 & 8). Figures 7 & 8: Postoperative MRCP confirming the diagnosis of a choledochal cyst. Figure 8 Subsequently, the patient had excision of the cyst with hepaticojejunostomy without complications. The histopathology report confirmed the diagnosis of a choledochal cyst. Discussion Choledochal cysts (CCs) are congenital conditions associated with benign cystic…
Journal of Medical Science And clinical Research
Tension pneumoperitoneum (TP) is defined as the massive accumulation of air in the peritoneal cav... more Tension pneumoperitoneum (TP) is defined as the massive accumulation of air in the peritoneal cavity, which results in a sudden increase in intraabdominal pressure. Various iatrogenic procedures are responsible for this complication (1). We report a case of tension pneumoperitoneum after percutaneous radiological gastrostomy (PRG).
ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surp... more ABSTRACT Internet Journal of Surgery ISSN: 1528-8242 Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review -------------------------------------------------------------------------------- Abbas AR Mohamed MBBS, FRCSI, FICS Consultant General and Laparoscopic Surgeon, Department of Surgical Specialties, King Fahad Medical City Muhammad Abukhater MBBS, FRCSI Assistant Consultant General Surgery, Department of Surgical Specialties, King Fahad Medical City Walid Abbas Mohamed MBBS, Intern in General Surgery, Department of Surgical Specialties, King Fahad Medical City -------------------------------------------------------------------------------- Citation: A.A. Mohamed, M. Abukhater, W.A. Mohamed: Adult Choledochal Cyst: Intra-operative Surprise. Case Report and Literature Review. The Internet Journal of Surgery. 2010 Volume 25 Number 2. DOI: 10.5580/223d -------------------------------------------------------------------------------- Keywords: Choledochal cyst/Laparoscopic cholecystectomy/Roux-en-Y hepaticojejunostomy -------------------------------------------------------------------------------- Abstract Presentation of a choledochal cyst is rare in adults. The diagnosis of adult choledochal cysts is frequently delayed due to nonspecific clinical symptoms or symptoms obscured by secondary hepatobiliary disease. We report a case of choledochal cyst associated with gallstones in a 15-year- old female which was diagnosed during laparoscopic cholecystectomy. -------------------------------------------------------------------------------- Introduction Choledochal cysts (CCs) are congenital conditions associated with benign cystic dilatation of bile ducts. Although cystic disease of the biliary tree has been described since 1723, much about its etiology, pathophysiology, natural course and optimal treatment remains under debate. CCs are reported mainly in children; however, an increasing number of adult patients have been diagnosed with the disease. Pre-operative diagnosis is essential for proper planning for surgery and to avoid unexpected intra-operative surprise. We report a case of an adult choledochal cyst missed on ultrasonic evaluation of a patient with gall stone symptoms. The diagnosis was established intra-operatively during laparoscopic cholecystectomy by intra-operative cholangiogram and confirmed by post operative MRCP. Advertisement Case Report A 16-year-old female patient presented to the surgical outpatient department at King Fahad Medical City, Riyadh, KSA with a history of recurrent right hypochodrium pain radiating to the right shoulder. She gave no history of jaundice, fever, rigors or pervious surgery. She had no history of medical illness. Clinical examination was entirely normal. Laboratory investigations including full blood count, liver function test and urea and electrolytes were within normal limits. The upper abdominal ultrasound was reported as liver normal in size and echogenicity with no focal lesion. The gallbladder showed multiple stones with normal wall thickness and no evidence of acute inflammation. The common bile duct was normal in caliber and there was no dilatation of the intrahepatic bile radicles (figure 1, 2). Figure 1: Ultrasonography of the gallbladder showing multiple stones with normal wall thickness and no evidence of acute inflammation. Figure 2: Ultrasonography of the liver showing a dilated tubular structure posterior to the gallbladder with internal echoes and posterior wall enhancement (findings overlooked in the initial ultrasound report). The patient was booked for elective laparoscopic cholecystectomy on the assumptive diagnosis of gall stones. Intraoperatively, the gallbladder was distended, but not inflamed (figure 3). On traction of the gallbladder upwards, a dilated cyst was seen which seemed to be in continuity with the gallbladder just below the level of the cystic duct (figure 4). The cystic duct was dissected (figure 5) and transcystic duct cholangiography was done (figure 6) which confirmed the diagnosis of a choledochal cyst. Figure 3: Distended gallbladder without obvious signs of acute inflammation. Figure 4: Huge cyst immediately below and in continuity with the gallbladder and above the duodenum Figure 5: The cystic duct was dissected and it was obvious that it was in continuity with the cyst. Figure 6: Intra-operative cholangiogram catheter inserted through the cystic duct. We proceeded with routine laparoscopic cholecystectomy without dealing with the cyst at this stage. A postoperative MRI confirmed the diagnosis of a choledochal cyst (figures 7 & 8). Figures 7 & 8: Postoperative MRCP confirming the diagnosis of a choledochal cyst. Figure 8 Subsequently, the patient had excision of the cyst with hepaticojejunostomy without complications. The histopathology report confirmed the diagnosis of a choledochal cyst. Discussion Choledochal cysts (CCs) are congenital conditions associated with benign cystic…
Obesity surgery, 2009
Intragastric balloons have gained popularity in the management of morbid obesity. Although the pr... more Intragastric balloons have gained popularity in the management of morbid obesity. Although the procedure of insertion is easy and is generally accepted by patients, a few complications can occur. We report a case of small bowel obstruction caused by spontaneous deflation and forced passage of an air-filled intragastric balloon into the small bowel.
JSLS, Journal of the …, 2002
We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic... more We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC). Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications. The laparoscopic technique consisted of partial aspiration of the cyst fluid and replacement of the aspirated fluid with 10% Betadine. The Betadine solution was left in situ for 10 minutes. Evacuation of the cyst contents was carried out with the liposuction device. The residual cavity was unroofed by partial excision of the ectocyst. A drain was left alongside the cyst. No intra- or postoperative complications were encountered. All patients were mobilized freely, were allowed to eat a regular meal 6 hours after recovery from anesthesia, and were discharged on the third postoperative day. All patients resumed their normal household and work activities by the tenth postoperative day. The patients were regularly followed up every 2 months for 2 years. At follow-up in the surgical clinic, no evidence of recurrence was noted either clinically, serologically, or by imaging techniques. We conclude that the laparoscopic treatment of HHC is feasible and advantageous. We believe that the use of a liposuction device facilitates rapid and efficient evacuation of the viscid organic contents of the cyst and helps in the obliteration of the residual cavity.